LAURIE B IRVINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079139

License Status

NOT RENEWED

Business

First Name

LAURIE B

Last Name

IRVINE

Business Name

LAURIE B IRVINE

Original Issue Date

11/03/1983

Effective Date

11/03/1983

Expiration Date

03/31/1984

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005